TABLE OF CHANGES – FORM
Form N-600, Application for Certificate of Citizenship
OMB Number: 1615-0057
REV+FR (021317-N)
Reason for Revision: Uncoupled from N-600K initiative; to move forward as separate forms; Revision, updates to standard language, incorporation of Fee Rule information. |
Current Page Number and Section |
Current Text |
Proposed Text |
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[Page 1]
To be completed by an attorney or accredited representative (if any).
[ ] Select this box if Form G-28 is attached
Attorney State Bar Number (if applicable)
Attorney or Accredited Representative USCIS Online Account Number (if any)
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Page 1 |
[Page 1]
Print or type all your answers fully and accurately in black ink. Write or type “N/A” if an item is not applicable. Write or type “None” if the answer is none. Failure to answer all of the questions may delay processing your Form N-600.
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[Page 1]
START HERE – Type or print in black ink.
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Page 1, Part 1. Information About Your Eligibility |
[Page 1]
Part 1. Information About Your Eligibility (Check only one box. USCIS will reject your Form N-600 if you check more than one box.)
This application is being filed based on the fact that:
1. [ ] I am a BIOLOGICAL child of a U.S. citizen parent(s).
2. [ ] I am an ADOPTED child of a U.S. citizen parent(s).
3. [ ] Other (explain fully):
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[Page 1]
Part 1. Information About Your Eligibility
1. This application is being filed based on the fact that: (Select only one box)
[ ] I am a BIOLOGICAL child of a U.S. citizen parent.
[ ] I am an ADOPTED child of a U.S. citizen parent.
[ ] Other (Explain fully):
NOTE: If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
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Pages 1-3, Part 2. Information About You |
[Page 1]
Part 2. Information About You (Provide information about yourself if you are a person applying for the Certificate of Citizenship. Provide information about your child if you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child.)
1. Current Legal Name (do not provide a nickname)
Family Name (last name) Given Name (first name) Middle Name (if applicable)
2. Your name exactly as it appears on your Permanent Resident Card (if different from above)
Family Name (last name) Given Name (first name) Middle Name (if applicable)
3. Other name(s) you have used since birth (if applicable. Include nicknames)
Family Name (last name) Given Name (first name) Middle Name (if applicable)
4. U.S. Social Security Number (if applicable)
5. Date of Birth (mm/dd/yyyy)
6. Country of Birth
[Page 2]
7. Country of Prior Citizenship/Nationality 8. Gender Male/Female 9. Height Feet/Inches
11. Mailing Address C/O (in care of name, if applicable) Street Number and Name Apartment Number City State Zip Code Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
10. Home Address Street Number and Name (do not provide a P.O. Box in this space unless it is your ONLY address) Apartment Number City State Zip Code Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
12. Daytime Phone Number Work Phone Number (if any) Evening Phone Number Mobile Phone Number (if any)
13. E-Mail Address (if any)
14. Current Marital Status Single, Never Married/Married/Divorced/ Widowed/Marriage Annulled/Other (explain):
15. Are you a member or veteran of any branch of the U.S. Armed Forces? Y/N
16. Information about admission into the United States and current immigration status
A. I arrived in the following manner Port of Entry (City/State)
Date of Entry (mm/dd/yyyy)
Exact Name Used at Time of Entry:
B. I used the following travel document to be admitted to the United States
[ ] Passport Passport Number
Passport Issuing Country Date Passport Issued (mm/dd/yyyy)
[ ] Other (specify document name and issuance date(s))
[Page 3]
C. I am A Permanent Resident / A Nonimmigrant / A Refugee/Asylee / Other (explain)
D. I obtained permanent resident status through adjustment of status in the United States or admission as a permanent resident (if applicable)
Date I became a permanent resident (mm/dd/yyyy)
USCIS office that granted my permanent resident status or location where I was admitted
17. Have you previously applied for a Certificate of Citizenship or U.S. passport? Yes (attach explanation)/No
18. Have you ever abandoned or lost your permanent resident status? Yes (attach explanation)/No
19. Were you adopted? Yes (complete the following information )/ No
Place of Final Adoption (City/State or Country)
Date of Adoption (mm/dd/yyyy) Date Legal Custody Began (mm/dd/yyyy) Date Physical Custody Began (mm/dd/yyyy)
20. Did you have to be re-adopted in the United States? Yes (complete the following information)/ No
Place of Final Adoption (City/State)
Date of Final Adoption (mm/dd/yyyy) Date Legal Custody Began (mm/dd/yyyy) Date Physical Custody Began (mm/dd/yyyy)
21. Were your parents married to each other when you were born (or adopted)? Yes/No
22. Did your parents marry after you were born? Yes/No
23. Do you regularly reside in the United States in the legal and physical custody of your U.S. citizen parent(s)? Yes/No
24. Have you been absent from the United States since you first arrived? Yes/No
(complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952)
[Table, three columns]
Date You Left the United States (mm/dd/yyyy)
Date You Returned to the United States (mm/dd/yyyy)
Place of Entry Upon Return to the United States (City, State) |
[Page 1]
Part 2. Information About You
NOTE: Provide information about yourself if you are a person applying for the Certificate of Citizenship. Provide information about your child if you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child.
[no change]
Family Name (Last Name) Given Name (First Name) Middle Name
[no change]
Family Name (Last Name) Given Name (First Name) Middle Name
3. Other Names You Have Used Since Birth Provide all other names you have ever used, include nicknames, maiden name, and aliases.
Family Name (Last Name) Given Name (First Name) Middle Name
4. U.S. Social Security Number (if any)
5. USCIS Online Account Number (if any)
6. Date of Birth (mm/dd/yyyy)
7. Country of Birth
8. Country of Prior Citizenship or Nationality 9. Gender Male Female [Deleted]
[Page 2]
10. Mailing Address In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code+4 Province (foreign address only) Postal Code (foreign address only) Country (foreign address only)
11. Physical Address Street Number and Name (Do not provide a PO Box in this space unless it is your ONLY address.) Apt. Ste. Flr. Number City or Town State ZIP Code+4 Province (foreign address only) Postal Code (foreign address only) Country (foreign address only)
[delete] [delete] [delete] [delete]
[delete]
12. Current Marital Status Single, Never Married/Married/Divorced/ Widowed/Separated/Marriage Annulled/Other (Explain):
13. U.S. Armed Forces [no change]
14. Information About Your Admission into the United States and Current Immigration Status
[no change] Port-of-Entry City or Town State Date of Entry (mm/dd/yyyy)
Exact Name Used at Time of Entry
Family Name (Last Name) Given Name (First Name) Middle Name
[no change]
[ ] Passport [] Travel Document Passport Number Travel Document Number Country of Issuance for Passport or Travel Document Date Passport or Travel Document Issued (mm/dd/yyyy)
[delete]
[Page 3]
[no change] A Lawful Permanent Resident (LPR) / A Nonimmigrant / A Refugee/Asylee / Other (Explain):
NOTE: If you select “Other” and you need extra space to complete this section, use the space provided in Part 11. Additional Information.
D. I obtained LPR status through adjustment of status in the United States or admission as a LPR (if applicable)
Date I became a LPR (mm/dd/yyyy)
U.S. Citizenship and Immigration Services (USCIS) Office That Granted My LPR Status or Location Where I Was Admitted
15. Have you previously applied for a Certificate of Citizenship or U.S. Passport? Yes/No
If you answered “Yes” to Item Number 15., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
16. Have you ever abandoned or lost your LPR status? Yes/No
If you answered “Yes” to Item Number 16., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
17. Were you adopted? Yes/No If you answered “Yes” to Item Number 17., complete Items A. - D.
A. Place of Final Adoption City or Town State Country B. Date of Adoption (mm/dd/yyyy) C. Date Legal Custody Began (mm/dd/yyyy) D. Date Physical Custody Began (mm/dd/yyyy)
18. Did you have to be re-adopted in the United States? Yes/No If you answered “Yes” to Item Number 18., complete Items A. - D.
A. Place of Final Adoption City or Town State Country B. Date of Final Adoption (mm/dd/yyyy) C. Date Legal Custody Began (mm/dd/yyyy) D. Date Physical Custody Began (mm/dd/yyyy)
19. Were your parents married to each other when you were born (or adopted)? Yes/No
20. Did your parents marry after you were born? Yes/No
21. Do you regularly reside in the United States in the legal and physical custody of your U.S. citizen parents? Yes/No
[Page 4]
22. Have you been absent from the United States since you first arrived? Yes/No
Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
[Delete Table]
A. Date You Left the United States (mm/dd/yyyy)
B. Date You Returned to the United States (mm/dd/yyyy)
C. Place of Entry Upon Return to the United States City or Town State
D. Date You Left the United States (mm/dd/yyyy)
E. Date You Returned to the United States (mm/dd/yyyy)
F. Place of Entry Upon Return to the United States City or Town State
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[Page 4] [New] Part 3. Biographic Information
1. Ethnicity (Select only one box) Hispanic or Latino Not Hispanic or Latino
2. Race (Select all applicable boxes) White Asian Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander
3. Height Feet__ Inches __
4. Weight Pounds _ _ _
5. Eye Color (Select only one box) Black Blue Brown Gray Green Hazel Maroon Pink Unknown/Other
6. Hair Color (Select only one box) Bald (No hair) Black Blond Brown Gray Red Sandy White Unknown/Other
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Pages 4-5, Part 3. Information About Your U.S. Citizen Biological Father (or Adoptive Father) |
[Page 4]
Part 3. Information About Your U.S. Citizen Biological Father (or Adoptive Father) (Complete this section if you are claiming citizenship through a U.S. biological father (of adoptive father). Provide information about yourself if you are a U.S. Citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.)
1. Current legal name of U.S. citizen father Family Name (last name) Given Name (first name) Middle Name (if applicable)
2. Date of Birth (mm/dd/yyyy) 3. Country of Birth 4. Country of Citizenship/Nationality
5. Home Address Street Number and Name (write "Deceased" and date of death if your father has passed away) Apartment Number City State Zip Code Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
6. My father is a U.S. citizen by [] Birth in the United States [] Acquisition after birth through naturalization of alien parent(s)
[] Birth abroad to U.S. citizen parent(s) Certificate of Citizenship Number A-Number (if known)
[] Naturalization Place of Naturalization (name of court and City/State or USCIS office location)
Certificate of Naturalization Number A-Number (if known) Date of Naturalization (mm/dd/yyyy)
7. Has your father ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship? Yes (provide full explanation on an additional sheet(s) of paper)/ No
8. Marital History A. How many times has your U.S. citizen father been married (including annulled marriages and marriage(s) to the same person)?
B. What is your U.S. citizen father's current marital status? Single, Never Married/Married/Divorced/ Widowed/Marriage Annulled/Other (explain):
[Page 5]
C. Information about U.S. citizen father's current spouse
Family Name (last name) Given Name (first name) Middle Name (if applicable) Date of Birth (mm/dd/yyyy) Country of Birth Country of Citizenship/Nationality
Spouse's Home Address Street Number and Name Apartment Number City State Zip Code Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
Date of Marriage (mm/dd/yyyy)
Place of Marriage (City/State or Country)
Spouse's Immigration Status U.S. Citizen/Permanent Resident/Other (explain):
D. Is your U.S. citizen father's current spouse also your biological (or adopted) mother? Yes/No |
[Page 4]
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father)
NOTE: Complete this section if you are claiming citizenship through a U.S. biological father (of adoptive father). Provide information about yourself if you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.
1. Current Legal Name of U.S. Citizen Father Family Name (Last Name) Given Name (First Name) Middle Name
[Page 5]
[no change] [no change] 4. Country of Citizenship or Nationality
5. Physical Address Street Number and Name (Type or print "Deceased" and the date of death if your father has passed away.) Apt. Ste. Flr. Number City or Town State ZIP Code + 4 Province (foreign address only) Postal Code (foreign address only) Country (foreign address only)
6. My father is a U.S. citizen by [] Birth in the United States [] Acquisition after birth through naturalization of alien parents
[] Birth abroad to U.S. citizen parents Certificate of Citizenship Number Alien Registration Number (A-Number) (if any)
[] Naturalization Place of Naturalization Name of Court or USCIS Office Location City or Town State Certificate of Naturalization Number A-Number (if any) Date of Naturalization (mm/dd/yyyy)
7. Has your father ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship? Yes/No If you answered “Yes” to Item Number 7., provide an explanation in Part 11. Additional Information.
8. Marital History A. How many times has your U.S. citizen father been married (including annulled marriages and marriages to the same person)?
[no change]
Single, Never Married/Married/Divorced/ Widowed/Separated/Marriage Annulled/Other (Explain):
If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
[Page 6]
9. Information About U.S. Citizen Father's Current Spouse
A. Family Name (Last Name) Given Name (First Name) Middle Name
B. Date of Birth (mm/dd/yyyy) C. Country of Birth D. Country of Citizenship or Nationality
E. Spouse's Physical Address Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code+4 Province (foreign address only) Postal Code (foreign address only) Country (foreign address only)
F. Date of Marriage (mm/dd/yyyy)
G. Place of Marriage City or Town State Country
H. Spouse’s Immigration Status U.S. Citizen/Lawful Permanent Resident/Other (Explain):
If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
I. Is your U.S. citizen father's current spouse also your biological (or adopted) mother? Yes/No
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Pages 5-6, Part 4. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother) |
[Page 5]
Part 4. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother) (Complete this section if you are claiming citizenship through a U.S. citizen biological mother (or adoptive mother). Provide information about yourself if you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.)
1. Current legal name of U.S. citizen mother
Family Name (last name) Given Name (first name) Middle Name (if applicable)
2. Date of Birth (mm/dd/yyyy) 3. Country of Birth 4. Country of Citizenship/Nationality
5. Home Address Street Number and Name (write "Deceased" and date of death if your mother has passed away) Apartment Number City State Zip Code Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
[Page 6]
6. My mother is a U.S. citizen by [] Birth in the United States [] Acquisition after birth through naturalization of alien parent(s)
[] Birth abroad to U.S. citizen parent(s) Certificate of Citizenship Number A-Number (if known)
[] Naturalization Place of Naturalization (name of court and City/State or USCIS office location)
Certificate of Naturalization Number A-Number (if known) Date of Naturalization (mm/dd/yyyy)
7. Has your mother ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship? Yes (provide full explanation on an additional sheet(s) of paper)/ No
8. Marital History A. How many times has your U.S. citizen mother been married (including annulled marriages and marriage(s) to the same person)?
B. What is your U.S. citizen mother’s current marital status? Single, Never Married/Married/Divorced/ Widowed/Marriage Annulled/Other (explain):
C. Information about U.S. citizen mother's current spouse
Family Name (last name) Given Name (first name) Middle Name (if applicable)
Date of Birth (mm/dd/yyyy) Country of Birth
Country of Citizenship/Nationality
Spouse's Home Address Street Number and Name Apartment Number City State Zip Code Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
Date of Marriage (mm/dd/yyyy)
Place of Marriage (City/State or Country)
Spouse's Immigration Status U.S. Citizen/Permanent Resident/Other (explain):
D. Is your U.S. citizen mother's current spouse also your biological (or adopted) father? Yes/No |
[Page 6]
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother)
NOTE: Complete this section if you are claiming citizenship through a U.S. citizen biological mother (or adoptive mother). Provide information about yourself if you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.
1. Current Legal Name of U.S. Citizen Mother
Family Name (Last Name) Given Name (First Name) Middle Name
2. Date of Birth (mm/dd/yyyy) 3. Country of Birth 4. Country of Citizenship or Nationality
[Page 7]
5. Physical Address Street Number and Name (Type or print "Deceased" and the date of death if your mother has passed away.) Apt. Ste. Flr. Number City or Town State ZIP Code + 4 Province (foreign address only) Postal Code (foreign address only) Country (foreign address only)
6. My mother is a U.S. citizen by [] Birth in the United States [] Acquisition after birth through naturalization of alien parents
[] Birth abroad to U.S. citizen parents Certificate of Citizenship Number A-Number (if any)
[] Naturalization Place of Naturalization (Name of Court or USCIS Office Location) City or Town State
Certificate of Naturalization Number A-Number (if any) Date of Naturalization (mm/dd/yyyy)
7. Has your mother ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship? Yes/No
If you answered “Yes” to Item Number 7., provide an explanation in Part 11. Additional Information.
8. Marital History A. How many times has your U.S. citizen mother been married (including annulled marriages and marriages to the same person)?
[no change]
Single, Never Married/Married/Divorced/ Widowed/Separated/Marriage Annulled/Other (Explain):
If you selected “Other”, provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
9. Information About U.S. Citizen Mother's Current Spouse
A. Family Name (Last Name) Given Name (First Name) Middle Name
B. Date of Birth (mm/dd/yyyy) C. Country of Birth
[Page 8]
D. Country of Citizenship or Nationality
E. Spouse's Physical Address Street Number and Name Apt. Ste. Flr. Number City or Town State Zip Code + 4 Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
F. Date of Marriage (mm/dd/yyyy)
G. Place of Marriage City or Town State Country
H. Spouse’s Immigration Status U.S. Citizen/Lawful Permanent Resident/Other (Explain)
If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information
I. Is your U.S. citizen mother's current spouse also your biological (or adopted) father? Yes/No
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Page 7, Part 5. Physical Presence in the United States From Birth Until Filing of Form N-600 |
[Page 7]
Part 5. Physical Presence in the United States From Birth Until Filing of Form N-600 (Only applicants born outside the United States claiming to have been born U.S. citizens are required to provide all the dates when your U.S. citizen biological father or U.S. citizen biological mother resided in the United States. Include all dates from your birth until the date you file your Form N-600.)
Indicate whether this information relates to your U.S. citizen (USC) father or mother
USC Mother /USC Father
Physical Presence in the United States (mm/dd/yyyy)
From/Until From/Until From/Until From/Until From/Until From/Until From/Until From/Until
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[Page 8]
Part 6. Physical Presence in the United States From Birth Until Filing of Form N-600
NOTE: Only applicants born outside the United States claiming to have been born U.S. citizens are required to provide all the dates when your U.S. citizen biological father or U.S. citizen biological mother resided in the United States. Include all dates from your birth until the date you file your Form N-600.
1. Indicate whether this information relates to your U.S. citizen father or mother
U.S. Citizen Father/U.S. Citizen Mother
2. Physical Presence in the United States (mm/dd/yyyy)
A. From (mm/dd/yyyy) To (mm/dd/yyyy) B. From (mm/dd/yyyy) To (mm/dd/yyyy) C. From (mm/dd/yyyy) To (mm/dd/yyyy) D. From (mm/dd/yyyy) To (mm/dd/yyyy) E. From (mm/dd/yyyy) To (mm/dd/yyyy) F. From (mm/dd/yyyy) To (mm/dd/yyyy) G. From (mm/dd/yyyy) To (mm/dd/yyyy) H. From (mm/dd/yyyy) To (mm/dd/yyyy)
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Page 7, Part 6. Information About Military Service of U. S. Citizen Parent(s) |
[Page 7]
Part 6. Information About Military Service of U. S. Citizen Parent(s) (Complete this only if you are an applicant claiming U.S. citizenship at time of birth abroad.)
1. Has your U.S. citizen parent(s) served in the U.S. Armed Forces? Yes/No
2. If "Yes," which parent?
U.S. Citizen Father/U.S. Citizen Mother
3. Dates of Service (if time of service fulfills any of required physical presence, submit evidence of service)
From (mm/dd/yyyy) / To (mm/dd/yyyy) From (mm/dd/yyyy) / To (mm/dd/yyyy)
4. Type of discharge Honorable Other than Honorable Dishonorable
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[Page 9]
Part 7. Information About Military Service of U. S. Citizen Parents
NOTE: Complete this only if you are an applicant claiming U.S. citizenship at time of birth abroad.
1. Has your U.S. citizen parent served in the U.S. Armed Forces? Yes/No
2. If you answered "Yes" to Item Number 1., which parent served in the U.S. Armed Forces? U.S. Citizen Father/U.S. Citizen Mother
3. Dates of Service (mm/dd/yyyy) (If time of service fulfills any of the required physical presence, submit evidence of the service.)
A. From (mm/dd/yyyy)/To (mm/dd/yyyy) B. From (mm/dd/yyyy)/To (mm/dd/yyyy)
[no change]
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Page 7, Part 7. Your Signature |
[Page 7]
Part 7. Your Signature (USCIS will reject your Form N-600 if it is not signed.)
I certify, under penalty of perjury under the laws of the United States, that this application and the evidence submitted with it is all true and correct. I authorize the release of any information from my records, or my minor child's records, that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.
Your Signature (parent may sign on behalf of a minor child) Date (mm/dd/yyyy)
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[Page 9]
Part 8. Applicant’s Statement, Contact Information, Certification, and Signature
NOTE: Read the Penalties section of the Form N-600 Instructions before completing this part.
Applicant’s Statement
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
1. Applicant’s Statement Regarding the Interpreter
A. [] I can read and understand English, and I have read and understand every question and instruction on this application and my answer to every question.
B. [] The interpreter named in Part 9. read to me every question and instruction on this application and my answer to every question in _________________________, a language in which I am fluent, and I understood everything.
2. Applicant’s Statement Regarding the Preparer
[] At my request, the preparer named in Part 10., [Fillable Filed], prepared this application for me based only upon information I provided or authorized.
Applicant’s Contact Information
3. Applicant’s Daytime Telephone Number 4. Applicant’s Mobile Telephone Number (if any) 5. Applicant’s Email Address (if any)
Applicant’s Certification
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any of my records that USCIS may need to determine my eligibility for the immigration benefit I seek.
I further authorize release of information contained in this application, in supporting documents, and in my USCIS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
[Page 10]
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
1) I reviewed and provided or authorized all of the information in my application; 2) I understood all of the information contained in, and submitted with, my application; and 3) All of this information was complete, true, and correct at the time of filing.
I certify, under penalty of perjury, that I provided or authorized all of the information in my application, I understand all of the information contained in, and submitted with, my application, and that all of this information is complete, true, and correct.
Applicant’s Signature 6. Applicant’s Signature
Date of Signature (mm/dd/yyyy)
NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application.
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[Page 10]
Part 9. Interpreter’s Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter’s Full Name
1. Interpreter's Family Name (Last Name) Interpreter's Given Name (First Name) 2. Interpreter's Business or Organization Name (if any)
Interpreter’s Mailing Address
3. Street Number and Name Apt. Ste. Flr. City or Town State ZIP Code Province Postal Code Country
Interpreter’s Contact Information
4. Interpreter's Daytime Telephone Number 5. Interpreter’s Mobile Telephone Number (if any) 6. Interpreter’s Email Address (if any)
[Page 11]
Interpreter’s Certification I certify, under penalty of perjury, that:
I am fluent in English and [Fillable Field], which is the same language specified in Part 8., Item B. in Item Number 1., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant’s Certification, and has verified the accuracy of every answer.
Interpreter’s Signature
7. Interpreter's Signature Date of Signature (mm/dd/yyyy)
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Pages 7-8, Part 8. Signature of Person Who Prepared This Form N-600 For You |
[Page 7]
Part 8. Signature of Person Who Prepared This Form N-600 For You (if applicable)
Preparer's Printed Name
[Page 8]
Preparer's Firm or Organization Name (if applicable)
Preparer's Address Street Number and Name
City State Zip Code Province (foreign address only) Country (foreign address only) Postal Code (foreign address only)
Preparer's Daytime Phone Number Preparer's Fax Number
Preparer's E-Mail Address
I declare that I prepared this application at the request of the above person. The answers provided are based on information of which I have personal knowledge and/or were provided to me by the above-named person in response to the questions contained on this form.
[Page 7]
Preparer's Signature Date (mm/dd/yyyy)
[Page 8]
NOTE: Do not complete the next part unless the USCIS officer instructs you to do so at the interview.
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[Page 11]
Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
Provide the following information about the preparer.
Preparer’s Full Name
1. Preparer’s Family Name (Last Name) Preparer’s Given Name (First Name)
2. Preparer’s Business or Organization Name (if any)
Preparer’s Mailing Address 3. Street Number and Name Apt. Ste. Flr. City or Town State ZIP Code +4 Province Postal Code Country
Preparer’s Contact Information 4. Preparer’s Daytime Telephone Number 5. Preparer’s Mobile Telephone Number (if any) 6. Preparer’s Email Address (if any)
[Page 12]
Preparer’s Statement 7.A. [] I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant’s consent.
B. [] I am an attorney or accredited representative and my representation of the applicant in this case [] extends [] does not extend beyond the preparation of this application.
NOTE: If you are an attorney or accredited representative whose representation extends beyond preparation of this application, you may be obliged to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, with this application.
Preparer’s Certification By my signature, I certify, under penalty of perjury, that I prepared this application at the request of the applicant. The applicant then reviewed this completed application and informed me that he or she understands all of the information contained in, and submitted with, his or her application, including the Applicant’s Certification, and that all of this information is complete, true, and correct. I completed this application based only on information that the applicant provided to me or authorized me to obtain or use.
Preparer’s Signature 8. Preparer's Signature Date of Signature (mm/dd/yyyy)
[Deleted] |
New |
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[Page 13]
[New] Part 11. Additional Information If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
1. Family Name (Last Name) Given Name (First Name) Middle Name
2. A-Number (if any)
3. A. Page Number B. Part Number C. Item Number D. [Fillable field]
4. A. Page Number B. Part Number C. Item Number D. [Fillable field]
5. A. Page Number B. Part Number C. Item Number D. [Fillable field]
6. A. Page Number B. Part Number C. Item Number D. [Fillable field]
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Page 9, Part 9. Affidavit |
[Page 9]
Part 9. Affidavit (do NOT complete this part unless instructed to do so AT THE INTERVIEW)
I, the (applicant, parent, or legal guardian) do swear or affirm, under penalty of perjury under the laws of the United States, that I know and understand the contents of this application signed by me, and the attached supplementary pages number ( ) to ( ) inclusive, that the same are true and correct to the best of my knowledge, and that corrections number ( ) to ( ) were made by me or at my request.
Applicant's, Parent's, or Legal Guardian's Signature
Date (mm/dd/yyyy)
Subscribed and sworn or affirmed before me upon examination of the applicant (parent, legal guardian) on ____________ (mm/dd/yyyy) At ___________ (Location).
USCIS Officer's Name and Title
USCIS Officer's Signature |
[Page 14]
NOTE: Do not complete Parts 12. and 13. unless the USCIS officer instructs you to do so at the interview.
Part 12. Affidavit (do NOT complete this part unless instructed to do so AT THE INTERVIEW)
[no change]
Applicant's, Parent's, or Legal Guardian's Signature
Date of Signature (mm/dd/yyyy)
Subscribed and sworn or affirmed before me upon examination of the applicant (parent, legal guardian) on ____________ Date (mm/dd/yyyy) at _________ (Location).
USCIS Officer’s Printed Name USCIS Officer’s Title
USCIS Officer’s Signature Date of Signature (mm/dd/yyyy)
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Page 9, Part 10. Officer Report and Recommendation on Application for Certificate of Citizenship |
[Page 9]
Part 10. Officer Report and Recommendation on Application for Certificate of Citizenship (for USCIS use ONLY)
On the basis of the documents, records, the testimony of person(s) examined, and the identification upon personal appearance of the underage beneficiary, I find that all the facts and conclusions set forth under oath in this application are:
1. True and correct
2. The applicant derived or acquired U.S. citizenship on _________ (mm/dd/yyyy)
3. The applicant derived or acquired U.S. citizenship through (mark “X” next to the appropriate section of law, or if the section of law is not reflected, write the applicable section of law in the space next to “Other”)
[] Section 301 of the INA [] Section 309 of the INA [] Section 320 of the INA [] Section 321 of the INA [] Other:
4. The applicant has not been expatriated since that time
I recommend that this Form N-600 application be [] Approved [] Denied
Issue Certificate of Citizenship in the name of
Last Name First Name Middle Name
USCIS Officer's Name and Title
USCIS Officer's Signature Date (mm/dd/yyyy)
I do _____ do not _____ concur with the USCIS Officer's recommendation of the Form N-600.
USCIS District Director's or Field Office Director's Signature
Date (mm/dd/yyyy)
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[Page 14]
Part 13. Officer Report and Recommendation on Application for Certificate of Citizenship (for USCIS use ONLY)
[no change]
[no change]
2. The applicant derived or acquired U.S. citizenship on ______________ Date (mm/dd/yyyy)
3. The applicant derived or acquired U.S. citizenship through (Select the box next to the appropriate section of law, or if the section of law is not reflected, type or print the applicable section of law in the space next to “Other.”)
A.[] INA Section 301 B. [] INA Section 309 C. [] INA Section 320 D.[] INA Section 321 E.[] Other_______________
[no change]
[Page 15]
I recommend that this Form N-600 be: [] Approved [] Denied
[no change]
Family Name (Last Name) Given Name (First Name) Middle Name
USCIS Officer’s Printed Name USCIS Officer’s Title
USCIS Officer’s Signature Date of Signature (mm/dd/yyyy)
I do _____ do not _____ concur with the USCIS Officer's recommendation of Form N-600.
USCIS District Director's or Field Office Director's Signature
Date of Signature(mm/dd/yyyy)
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | USCIS User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-22 |